Patient Account Technician

1 week ago


Chattanooga, Tennessee, United States Erlanger Health System Full time
Job Summary:

The Patient Account Technician/Collections and follow-up is responsible for working assigned accounts. This includes determining if accounts have been received by insurance companies, if the accounts are paid according to the contract or correct DRG, and if adjustments are correct or if adjustments were taken. The collector is responsible for determining if accounts need rebilling or if an adjustment is needed. Additionally, the collector is responsible for determining if a refund is due to the insurance carrier or patient. The collector is also responsible for determining if secondary insurance is billed and moving the money to the appropriate insurance bucket. The collector is responsible for bringing all processing problems to the attention of the Payer Coordinator, Supervisors, or Managers. The main objective of the collector is to ensure that all claims assigned are paid according to the contract or obtain payment from the patient. The collector is responsible for reviewing patient liability and trying to contact patients for payment arrangements or reviewing for charity according to the PFS guideline. In some cases, the collector is responsible for gathering needed information for retroactive accounts to send in for approval by the MCO (Maintenance Care Organization). Collectors are given a high-dollar list of accounts weekly to be followed up on and returned to the coordinator & supervisor within a specific time frame. The collector also has to meet productivity requirements set by Supervisor or Managers. Performs other duties as assigned.

Responsibilities:

Determine if accounts have been received by insurance companies
Ensure accounts are paid according to the contract or correct DRG
Determine if adjustments are correct or if adjustments were taken
Determine if accounts need rebilling or if an adjustment is needed
Determine if a refund is due to the insurance carrier or patient
Determine if secondary insurance is billed and move the money to the appropriate insurance bucket
Bring all processing problems to the attention of the Payer Coordinator, Supervisors, or Managers
Review patient liability and try to contact patients for payment arrangements or review for charity according to the PFS guideline
Gather needed information for retroactive accounts to send in for approval by the MCO (Maintenance Care Organization)
Meet productivity requirements set by Supervisor or Managers

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